Satellite City- Order Form Fill out form and click submit. You will be called promptly.

First Name:	Cell Phone:
Last Name:	Other Phone:
Home Phone:	Other Phone:
Work Phone:	Postal Code:

    Products of interest (Bell)    

9200-dual HD PVR $599	6100 - HD receiver $299	5900 - non-hd PVR $299
4100 - basic receiver $99	Bell Dish 20" Dish $79.99	Bell LNB $79.99


    Products of interest (Starchoice)    

317 Receiver $99.99	205 Receiver $79.99	505 Receiver $199.99
530 HD PVR Receiver $699.99	Quad LNB $79.99	60 cm e-dish $99.99


    Services Required    

Bell Install	StarChoice Install	Point Dish - Bell
Point Dish - Starchoice	RV Install	Service Call - General


    Best day/time for your install/service call? (if applicable)

    Preference #1: Select Day Monday Tuesday Wednesday Thursday Friday Saturday Select Time 8:00 A.M. 9:00 A.M. 10:00 A.M. 11:00 A.M. 12:00 Noon 1:00 P.M. 2:00 P.M. 3:00 P.M. 4:00 P.M.
    Preference #2: Select Day Monday Tuesday Wednesday Thursday Friday Saturday Select Time 8:00 A.M. 9:00 A.M. 10:00 A.M. 11:00 A.M. 12:00 Noon 1:00 P.M. 2:00 P.M. 3:00 P.M. 4:00 P.M.
    Preference #3: Select Day Monday Tuesday Wednesday Thursday Friday Saturday Select Time 8:00 A.M. 9:00 A.M. 10:00 A.M. 11:00 A.M. 12:00 Noon 1:00 P.M. 2:00 P.M. 3:00 P.M. 4:00 P.M.

    Address:
    Enter service address with travel directions, if applicable.

    Comments:
    Enter any necessary comments about the products or services you require.

    What type of programming are you most interested in?

    Movies Sports News International Learning

    If new home, who is the builder? Select Builder Albi Homes Beattie Homes Baywest Homes Homes By Avi Cardel Homes